Individual provider Active NPI

Jennifer Broschart-Smith, CRNP

  • Family Nurse Practitioner
  • Silverdale, PA
National Provider Identifier
1407259708
Registry record updated Sep 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP013583 Issued in PA
Practice address
164 Main Street
Silverdale, PA 18962
Phone
(215) 258-3810
NPI assigned
Sep 30, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP013583 PA Primary

Addresses

Primary practice location

164 Main Street
Silverdale, PA 18962

Mailing address

164 Main Street
Silverdale, PA 18962
Phone (215) 258-3810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150327000364 PA Practitioner - Nurse Practitioner 9032436209 Reassigns benefits to 3 organizations
I20251231001182 NY Practitioner - Nurse Practitioner 9032436209 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

31 Wren Dr
Southampton, PA 18966-1931

424 Church St
Nashville, TN 37219-2301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP013583PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Matrix Medical of New York PC CurrentSince Dec 1, 2025 Accepting new patients
Broderman Internal Medicine Associates CurrentSince Sep 24, 2020 Accepting new patients
Matrix Medical Plus CurrentSince Jan 5, 2026 Accepting new patients
Kim Kuhar D O Internal Medicine P C CurrentSince Feb 1, 2015 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

1740 Broadway
Fl 15
New York, NY 10019
Phone (201) 256-5032

2325 Heritage Center Dr
Ste 116
Furlong, PA 18925
Phone (215) 794-1462

100 S Juniper St
Fl 3
Philadelphia, PA 19107
Phone (267) 999-9534

424 Church St
Ste 2600
Nashville, TN 37219
Phone (480) 450-3721

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412035200000",
    "number": "1407259708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 MAIN STREET",
            "city": "SILVERDALE",
            "state": "PA",
            "postal_code": "18962",
            "telephone_number": "215-258-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 MAIN STREET",
            "city": "SILVERDALE",
            "state": "PA",
            "postal_code": "18962",
            "telephone_number": "215-258-3810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROSCHART-SMITH",
        "first_name": "JENNIFER",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-30",
        "last_updated": "2014-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP013583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverdale, PA

Sources for this page

Verify at the official NPI Registry.